LifePoint Health · Lebanon, KY
5 of 5
CMS star rating
75
Beds
994
Inpatient discharges a year
$55.4M
Net patient revenue a year
25
In-network payers
Spring View Hospital is a 75-bed proprietary hospital in Lebanon, KY, affiliated with LifePoint Health. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 160 disclosed rate categories.
The 24 services Spring View Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$4,221 - $13,943
from 3 insurers · median $5,571
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,268 - $19,768
from 3 insurers · median $8,752
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$198 - $4,169
from 3 insurers · median $2,910
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$13,042 - $13,046
from 2 insurers · median $13,044
11 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$33,830 - $79,735
from 2 insurers · median $56,782
Hospital reports orthopedic surgery services to CMS
Medicine & Surgery
CPT 66984
$4,082 - $6,304
from 2 insurers · median $5,193
59 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$4,221 - $13,943
from 3 insurers · median $5,571
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Nuclear imaging
CPT 78452
$355 - $4,036
from 3 insurers · median $3,235
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$8,305 - $14,930
from 2 insurers · median $11,618
15 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Digestive procedures
CPT 49650
$9,270 - $11,686
from 2 insurers · median $10,478
11 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 470
$17,607 - $36,993
from 2 insurers · median $27,300
Hospital reports orthopedic surgery services to CMS
Digestive procedures
CPT 45380
$2,441 - $3,813
from 2 insurers · median $3,127
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$419 - $3,774
from 3 insurers · median $2,106
Common here, based on CMS Medicare volume
Urology
CPT 50590
$7,192 - $8,285
from 2 insurers · median $7,738
25 Medicare claims in Level 4 Urology and Related Services (CMS 2024)
Digestive procedures
CPT 45385
$310 - $3,813
from 3 insurers · median $2,441
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$31 - $515
from 3 insurers · median $359
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$247 - $410
from 3 insurers · median $375
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$117 - $293
from 3 insurers · median $204
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$80 - $410
from 3 insurers · median $375
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29888
$19,869 - $28,466
from 2 insurers · median $24,167
Typical for a hospital with this service line
Ultrasound
CPT 76705
$67 - $799
from 3 insurers · median $558
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 64721
$3,912 - $7,372
from 2 insurers · median $5,642
18 Medicare claims in Level 1 Nerve Procedures (CMS 2024)
CT imaging
CPT 74176
$172 - $410
from 3 insurers · median $375
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 29880
$7,202 - $9,343
from 2 insurers · median $8,273
15 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 22 | 312% | 14 | 3 |
| Insurer B* | 24 | 230% | 13 | 5 |
| Insurer C* | 15 | 54% | 2 | 10 |
How we chose these services: 7 appear in this hospital's own Medicare claims, 11 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Spring View Hospital, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Quality
5 of 5 stars
Doctors and services
Accredited by The Joint Commission
Finances
$55.4M net patient revenue
Ownership and leadership
Owned by Dsb Acquisition LLC
The employer identification numbers (EINs) health plans and networks list for Spring View Hospital in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 20-0155414Spring View Hospital | 45Aetna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter, Aspirus Health Plan and 40 more | 1780746420 Spring View Hospital LLC1508141961 Spring View Hospital LLC1124320395 Spring View Hospital LLCand 7 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
320 Loretto Road, Lebanon, KY 40033
(270) 692-5145
How Spring View Hospital compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Overall star rating
5 of 5
The top rating, shared by 12% of US hospitals
Combines death rates, safety, readmissions, patient experience and timely care
Death rates
No different on 4 measures
0 better, 4 no different, 0 worse than the US rate
Deaths within 30 days, such as after a heart attack, pneumonia or stroke
Safety
No different on 3 measures
0 better, 3 no different, 0 worse than the US rate
Infections, surgical complications and other harm in the hospital
Readmissions
Better on 1 of 7 measures
1 better, 6 no different, 0 worse than the US rate
Patients back in the hospital or ER soon after leaving
Patient survey rating
4 of 5
Higher than 60% of US hospitals
From the HCAHPS survey of recent inpatients
Would definitely recommend
70%
Lower than 53% of US hospitals
US median: 71%
Surveyed patients who would definitely recommend the hospital
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
Serious complications (PSI 90)
0.97
Higher than 54% of US hospitals
US median: 0.96
Risk-adjusted composite of complications such as bedsores, falls with hip fracture and blood clots after surgery; lower is better
Time in the ER before going home
154 min
Higher than 53% of US hospitals
US median: 148 min
Median minutes from arrival to leaving for ER patients who were sent home; lower is better
Sepsis care
88%
Higher than 95% of US hospitals
US median: 65%
Patients with severe sepsis or septic shock who got every step of the recommended early treatment; higher is better
| Measure | Result | Period |
|---|---|---|
| Overall star ratingCMS: Overall hospital quality star rating | 5 of 5 | |
| Death rates | No different on 4 measures | |
| Safety | No different on 3 measures | |
| Readmissions | Better on 1 of 7 measures | |
| Patient survey ratingCMS: Summary star rating | 4 of 5 | 2024-10-01 to 2025-09-30 |
| Would definitely recommendCMS: "YES", patients would definitely recommend the hospital | 70% | 2024-10-01 to 2025-09-30 |
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
| Serious complications (PSI 90)CMS: Patient safety and adverse events composite (PSI 90) | 0.97 | 2022-07-01 to 2024-06-30 |
| Time in the ER before going homeCMS: Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better | 154 min | 2024-10-01 to 2025-09-30 |
| Sepsis careCMS: Appropriate care for severe sepsis and septic shock | 88% | 2024-10-01 to 2025-09-30 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Spring View Hospital's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2027 IPPS final rule.
+2.75% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2027 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2027).
Each result CMS publishes for Spring View Hospital, beside the US median and the average of KY hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Risk-adjusted 30-day death rates and surgical complications; lower is better.
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients2023-04-01 to 2025-03-31 · 37 cases | 3.5 | 4.1 | 4.2 | Better than 77% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2024-07-01 to 2025-06-30 · 291 cases | 4.2 | 3.9 | 4.543 | Worse than 63% of US hospitals | |
| Death rate for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 12.11 | |||
| Death rate for CABG surgery patients2022-07-01 to 2025-06-30 | Not Available | 2.485 | |||
| Death rate for COPD patients2022-07-01 to 2025-06-30 · 26 cases | 8.5 | 8.5 | 9.152 | Worse than 50% of US hospitals | |
| Death rate for heart failure patients2022-07-01 to 2025-06-30 · 39 cases | 12.7 | 11 | 11.98 | Worse than 80% of US hospitals | |
| Death rate for pneumonia patients2022-07-01 to 2025-06-30 · 105 cases | 16 | 15.2 | 16.6 | Worse than 62% of US hospitals | |
| Death rate for stroke patients2023-07-01 to 2025-06-30 | Not Available | 12.38 | |||
| Pressure ulcer rate2022-07-01 to 2024-06-30 · 288 cases | 0.55 | 0.51 | 0.6092 | No Different Than the National Rate | Worse than 56% of US hospitals |
| Death rate among surgical inpatients with serious treatable complications2022-07-01 to 2024-06-30 | Not Available | 185 | |||
| Iatrogenic pneumothorax rate2022-07-01 to 2024-06-30 · 446 cases | 0.21 | 0.2 | 0.2113 | No Different Than the National Rate | Worse than 54% of US hospitals |
| In-hospital fall-associated fracture rate2022-07-01 to 2024-06-30 · 442 cases | 0.27 | 0.27 | 0.2787 | No Different Than the National Rate | Worse than 46% of US hospitals |
| Postoperative hemorrhage or hematoma rate2022-07-01 to 2024-06-30 · 71 cases | 2.32 | 2.29 | 2.306 | No Different Than the National Rate | Worse than 59% of US hospitals |
| Postoperative acute kidney injury requiring dialysis rate2022-07-01 to 2024-06-30 | Not Available | 1.711 | |||
| Postoperative respiratory failure rate2022-07-01 to 2024-06-30 | Not Available | 10.2 | |||
| Perioperative pulmonary embolism or deep vein thrombosis rate2022-07-01 to 2024-06-30 · 73 cases | 3.41 | 3.4 | 3.435 | No Different Than the National Rate | Worse than 51% of US hospitals |
| Postoperative sepsis rate2022-07-01 to 2024-06-30 | Not Available | 5.85 | |||
| Postoperative wound dehiscence rate2022-07-01 to 2024-06-30 | Not Available | 1.761 | Number of Cases Too Small | ||
| Abdominopelvic accidental puncture or laceration rate2022-07-01 to 2024-06-30 | Not Available | 1.077 | Number of Cases Too Small |
Unplanned returns to a hospital after a stay or an outpatient procedure; lower is better.
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Hospital return days for heart attack patients2022-07-01 to 2025-06-30 | Not Available | 13.02 | |||
| Hospital return days for heart failure patients2022-07-01 to 2025-06-30 · 43 cases | 0.6 | 1.25 | 9.521 | Better than 51% of US hospitals | |
| Hospital return days for pneumonia patients2022-07-01 to 2025-06-30 · 118 cases | -51.5 | 3.85 | 12.61 | Better than 98% of US hospitals | |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)2024-07-01 to 2025-06-30 | Not Available | ||||
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)2022-01-01 to 2024-12-31 · 374 cases | 11.9 | 12.9 | 13.03 | No Different Than the National Rate | Better than 92% of US hospitals |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 10.97 | Number of Cases Too Small | ||
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy2024-01-01 to 2024-12-31 | Not Available | 5.4 | Number of Cases Too Small | ||
| Ratio of unplanned hospital visits after hospital outpatient surgery2024-01-01 to 2024-12-31 · 92 cases | 1.1 | 1 | 1.027 | No Different than expected | Worse than 69% of US hospitals |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate2023-07-01 to 2025-06-30 | Not Available | 14.42 | |||
| Rate of readmission for CABG2023-07-01 to 2025-06-30 | Not Available | 10.55 | |||
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients2023-07-01 to 2025-06-30 · 47 cases | 18.7 | 19.8 | 19.89 | Better than 91% of US hospitals | |
| Heart failure (HF) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 48 cases | 21.4 | 21.3 | 21.36 | Worse than 51% of US hospitals | |
| Rate of readmission after hip/knee replacement2023-07-01 to 2025-06-30 · 43 cases | 5.7 | 5.8 | 6.142 | Better than 52% of US hospitals | |
| Pneumonia (PN) 30-Day Readmission Rate2023-07-01 to 2025-06-30 · 148 cases | 15 | 17.2 | 17.37 | Better than 99% of US hospitals |
Standardized infection ratios (1 is the US baseline) and the counts behind them; lower is better.
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.339 | |||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.151 | |||
| Central Line Associated Bloodstream Infection: Number of Device Days2024-10-01 to 2025-09-30 | 90 | 1,370 | 2,960 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.054 | 0.9835 | 2.924 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.453 | ||
| Central Line Associated Bloodstream Infection (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.7803 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2917 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.135 | |||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2024-10-01 to 2025-09-30 | 328 | 1,799 | 3,041 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2024-10-01 to 2025-09-30 | 0.167 | 1.377 | 3.578 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 2.172 | ||
| Catheter Associated Urinary Tract Infections (ICU + select Wards)2024-10-01 to 2025-09-30 | Not Available | 0.5965 | |||
| SSI - Colon Surgery: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.4763 | |||
| SSI - Colon Surgery: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.932 | |||
| SSI - Colon Surgery: Number of Procedures2024-10-01 to 2025-09-30 | 4 | 61 | 98 | ||
| SSI - Colon Surgery: Predicted Cases2024-10-01 to 2025-09-30 | 0.104 | 1.591 | 2.685 | ||
| SSI - Colon Surgery: Observed Cases2024-10-01 to 2025-09-30 | 0 | 1 | 2.881 | ||
| SSI - Colon Surgery2024-10-01 to 2025-09-30 | Not Available | 0.9389 | |||
| SSI - Abdominal Hysterectomy: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2818 | |||
| SSI - Abdominal Hysterectomy: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 3.126 | |||
| SSI - Abdominal Hysterectomy: Number of Procedures2024-10-01 to 2025-09-30 | 1 | 38 | 73.52 | ||
| SSI - Abdominal Hysterectomy: Predicted Cases2024-10-01 to 2025-09-30 | 0.008 | 0.328 | 0.6952 | ||
| SSI - Abdominal Hysterectomy: Observed Cases2024-10-01 to 2025-09-30 | 0 | 0 | 0.8043 | ||
| SSI - Abdominal Hysterectomy2024-10-01 to 2025-09-30 | Not Available | 0.9479 | |||
| MRSA Bacteremia: Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.2803 | |||
| MRSA Bacteremia: Upper Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 2.29 | |||
| MRSA Bacteremia: Patient Days2024-10-01 to 2025-09-30 | 4,399 | 14,451 | 34,235 | ||
| MRSA Bacteremia: Predicted Cases2024-10-01 to 2025-09-30 | 0.31 | 0.567 | 2.406 | ||
| MRSA Bacteremia: Observed Cases2024-10-01 to 2025-09-30 | 1 | 0 | 2.093 | ||
| MRSA Bacteremia2024-10-01 to 2025-09-30 | Not Available | 0.7481 | |||
| Clostridium Difficile (C.Diff): Lower Confidence Limit2024-10-01 to 2025-09-30 | Not Available | 0.149 | No Different than National Benchmark | ||
| Clostridium Difficile (C.Diff): Upper Confidence Limit2024-10-01 to 2025-09-30 | 1.511 | 0.747 | 1.678 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Patient Days2024-10-01 to 2025-09-30 | 3,957 | 13,646 | 31,551 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Predicted Cases2024-10-01 to 2025-09-30 | 1.982 | 5.683 | 15.64 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff): Observed Cases2024-10-01 to 2025-09-30 | 0 | 2 | 5.011 | No Different than National Benchmark | |
| Clostridium Difficile (C.Diff)2024-10-01 to 2025-09-30 | 0 | 0.279 | 0.3987 | No Different than National Benchmark | The best result, shared by 19% of US hospitals |
How recent inpatients answered each survey question, with CMS's star rating per topic.
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Room was "always" clean2024-10-01 to 2025-09-30 · 156 cases | 73 | 73 | 74.59 | Worse than 49% of US hospitals | |
| Room was "sometimes" or "never" clean2024-10-01 to 2025-09-30 · 156 cases | 9 | 8 | 7.987 | Worse than 53% of US hospitals | |
| Room was "usually" clean2024-10-01 to 2025-09-30 · 156 cases | 18 | 18 | 17.42 | ||
| Cleanliness - linear mean score2024-10-01 to 2025-09-30 · 156 cases | 87 | 87 | 86.82 | Better than 47% of US hospitals | |
| Cleanliness - star rating2024-10-01 to 2025-09-30 · 156 cases | 4 | 4 | 3.533 | Better than 47% of US hospitals | |
| Nurses "always" communicated well2024-10-01 to 2025-09-30 · 156 cases | 86 | 80 | 82.24 | Better than 83% of US hospitals | |
| Nurse communication - linear mean score2024-10-01 to 2025-09-30 · 156 cases | 94 | 91 | 92.18 | Better than 82% of US hospitals | |
| Nurses "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 156 cases | 3 | 4 | 3.772 | Better than 58% of US hospitals | |
| Nurse communication - star rating2024-10-01 to 2025-09-30 · 156 cases | 5 | 3 | 3.8 | The top rating, shared by 18% of US hospitals | |
| Nurses "usually" communicated well2024-10-01 to 2025-09-30 · 156 cases | 11 | 16 | 13.99 | ||
| Doctors "always" communicated well2024-10-01 to 2025-09-30 · 156 cases | 87 | 79 | 81.87 | Better than 87% of US hospitals | |
| Doctor communication - linear mean score2024-10-01 to 2025-09-30 · 156 cases | 95 | 91 | 91.67 | Better than 94% of US hospitals | |
| Doctors "sometimes" or "never" communicated well2024-10-01 to 2025-09-30 · 156 cases | 3 | 5 | 4.823 | Better than 77% of US hospitals | |
| Doctor communication - star rating2024-10-01 to 2025-09-30 · 156 cases | 5 | 3 | 3.417 | The top rating, shared by 6% of US hospitals | |
| Doctors "usually" communicated well2024-10-01 to 2025-09-30 · 156 cases | 10 | 16 | 13.3 | ||
| Staff "always" explained2024-10-01 to 2025-09-30 · 156 cases | 68 | 61 | 63.23 | Better than 79% of US hospitals | |
| Communication about medicines - linear mean score2024-10-01 to 2025-09-30 · 156 cases | 84 | 77 | 78.17 | Better than 91% of US hospitals | |
| Staff "sometimes" or "never" explained2024-10-01 to 2025-09-30 · 156 cases | 12 | 19 | 18.58 | Better than 86% of US hospitals | |
| Communication about medicines - star rating2024-10-01 to 2025-09-30 · 156 cases | 4 | 3 | 2.833 | Better than 79% of US hospitals | |
| Staff "usually" explained2024-10-01 to 2025-09-30 · 156 cases | 20 | 19 | 18.19 | ||
| Discharge information - linear mean score2024-10-01 to 2025-09-30 · 156 cases | 89 | 86 | 85.77 | Better than 78% of US hospitals | |
| No, staff "did not" give patients this information2024-10-01 to 2025-09-30 · 156 cases | 11 | 13 | 13.37 | Better than 68% of US hospitals | |
| Discharge information - star rating2024-10-01 to 2025-09-30 · 156 cases | 4 | 3 | 3.317 | Better than 55% of US hospitals | |
| Yes, staff "did" give patients this information2024-10-01 to 2025-09-30 · 156 cases | 89 | 87 | 86.63 | Better than 68% of US hospitals | |
| No, staff "did not" give patients information about help after discharge2024-10-01 to 2025-09-30 · 156 cases | 13 | 14 | 14.65 | Better than 59% of US hospitals | |
| Yes, staff "did" give patients information about help after discharge2024-10-01 to 2025-09-30 · 156 cases | 87 | 86 | 85.35 | Better than 59% of US hospitals | |
| Doctors "always" explained things so they could understand2024-10-01 to 2025-09-30 · 156 cases | 82 | 74 | 76.86 | Better than 88% of US hospitals | |
| Doctors "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 156 cases | 4 | 7 | 6.333 | Better than 81% of US hospitals | |
| Doctors "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 156 cases | 14 | 19 | 16.81 | ||
| Doctors "always" listened carefully2024-10-01 to 2025-09-30 · 156 cases | 87 | 77 | 80.25 | Better than 93% of US hospitals | |
| Doctors "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 156 cases | 2 | 6 | 5.278 | Better than 91% of US hospitals | |
| Doctors "usually" listened carefully2024-10-01 to 2025-09-30 · 156 cases | 11 | 17 | 14.47 | ||
| Doctors "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 156 cases | 93 | 85 | 87.39 | Better than 94% of US hospitals | |
| Doctors "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 156 cases | 2 | 3 | 3.125 | Better than 75% of US hospitals | |
| Doctors "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 156 cases | 5 | 11 | 9.486 | ||
| Patients who gave a rating of "6" or lower (low)2024-10-01 to 2025-09-30 · 156 cases | 4 | 8 | 7.544 | Better than 82% of US hospitals | |
| Patients who gave a rating of "7" or "8" (medium)2024-10-01 to 2025-09-30 · 156 cases | 18 | 20 | 19.38 | ||
| Patients who gave a rating of "9" or "10" (high)2024-10-01 to 2025-09-30 · 156 cases | 78 | 72 | 73.08 | Better than 74% of US hospitals | |
| Overall hospital rating - linear mean score2024-10-01 to 2025-09-30 · 156 cases | 91 | 88 | 88.38 | Better than 77% of US hospitals | |
| Overall hospital rating - star rating2024-10-01 to 2025-09-30 · 156 cases | 4 | 3 | 3.333 | Better than 55% of US hospitals | |
| Staff "always" explained new medications2024-10-01 to 2025-09-30 · 156 cases | 75 | 74 | 75.21 | Better than 52% of US hospitals | |
| Staff "sometimes" or "never" explained new medications2024-10-01 to 2025-09-30 · 156 cases | 6 | 9 | 9.458 | Better than 79% of US hospitals | |
| Staff "usually" explained new medications2024-10-01 to 2025-09-30 · 156 cases | 19 | 16 | 15.33 | ||
| Nurses "always" explained things so they could understand2024-10-01 to 2025-09-30 · 156 cases | 83 | 75 | 77.63 | Better than 90% of US hospitals | |
| Nurses "sometimes" or "never" explained things so they could understand2024-10-01 to 2025-09-30 · 156 cases | 4 | 5 | 5.153 | Better than 66% of US hospitals | |
| Nurses "usually" explained things so they could understand2024-10-01 to 2025-09-30 · 156 cases | 13 | 20 | 17.22 | ||
| Nurses "always" listened carefully2024-10-01 to 2025-09-30 · 156 cases | 84 | 77 | 79.5 | Better than 86% of US hospitals | |
| Nurses "sometimes" or "never" listened carefully2024-10-01 to 2025-09-30 · 156 cases | 4 | 4 | 4.028 | Better than 45% of US hospitals | |
| Nurses "usually" listened carefully2024-10-01 to 2025-09-30 · 156 cases | 12 | 19 | 16.47 | ||
| Nurses "always" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 156 cases | 90 | 86 | 88 | Better than 77% of US hospitals | |
| Nurses "sometimes" or "never" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 156 cases | 1 | 3 | 2.556 | Better than 77% of US hospitals | |
| Nurses "usually" treated them with courtesy and respect2024-10-01 to 2025-09-30 · 156 cases | 9 | 11 | 9.444 | ||
| "Always" quiet at night2024-10-01 to 2025-09-30 · 156 cases | 64 | 59 | 62.39 | Better than 65% of US hospitals | |
| "Sometimes" or "never" quiet at night2024-10-01 to 2025-09-30 · 156 cases | 9 | 9 | 8.089 | Worse than 47% of US hospitals | |
| "Usually" quiet at night2024-10-01 to 2025-09-30 · 156 cases | 27 | 31 | 29.52 | ||
| Quietness - linear mean score2024-10-01 to 2025-09-30 · 156 cases | 84 | 82 | 83.2 | Better than 63% of US hospitals | |
| Quietness - star rating2024-10-01 to 2025-09-30 · 156 cases | 4 | 3 | 3.633 | Better than 56% of US hospitals | |
| "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)2024-10-01 to 2025-09-30 · 156 cases | 3 | 5 | 5.19 | Better than 70% of US hospitals | |
| "YES", patients would definitely recommend the hospital2024-10-01 to 2025-09-30 · 156 cases | 70 | 71 | 70.95 | Worse than 53% of US hospitals | |
| Recommend hospital - linear mean score2024-10-01 to 2025-09-30 · 156 cases | 88 | 87 | 86.8 | Better than 51% of US hospitals | |
| "YES", patients would probably recommend the hospital2024-10-01 to 2025-09-30 · 156 cases | 27 | 23 | 23.86 | ||
| Recommend hospital - star rating2024-10-01 to 2025-09-30 · 156 cases | 4 | 4 | 3.6 | Better than 42% of US hospitals | |
| Staff "always" explained possible side effects2024-10-01 to 2025-09-30 · 156 cases | 61 | 47 | 50.82 | Better than 93% of US hospitals | |
| Staff "sometimes" or "never" explained possible side effects2024-10-01 to 2025-09-30 · 156 cases | 17 | 30 | 28.18 | Better than 93% of US hospitals | |
| Staff "usually" explained possible side effects2024-10-01 to 2025-09-30 · 156 cases | 22 | 22 | 21 | ||
| Summary star rating2024-10-01 to 2025-09-30 · 156 cases | 4 | 3 | 3.433 | Better than 60% of US hospitals | |
| No, staff "did not" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 156 cases | 8 | 12 | 11.93 | Better than 87% of US hospitals | |
| Yes, staff "did" give patients information about possible symptoms2024-10-01 to 2025-09-30 · 156 cases | 92 | 88 | 88.07 | Better than 87% of US hospitals |
How often the hospital gave recommended care, and how fast.
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Emergency department volume2024-01-01 to 2024-12-31 | low | ||||
| Global Malnutrition Composite Score2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Diagnosis Documented2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Malnutrition Risk Screening2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutrition Assessment2024-01-01 to 2024-12-31 | Not Available | ||||
| Global Malnutrition Composite Score: Nutritional Care Plan2024-01-01 to 2024-12-31 | Not Available | ||||
| Hospital Harm - Severe Hyperglycemia2024-01-01 to 2024-12-31 | Not Available | 8.032 | |||
| Hospital Harm - Severe Hypoglycemia2024-01-01 to 2024-12-31 · 184 cases | 1 | 1 | 1.132 | Worse than 34% of US hospitals | |
| Hospital Harm - Opioid Related Adverse Events2024-01-01 to 2024-12-31 | Not Available | 0.4286 | |||
| Healthcare workers given influenza vaccination2024-10-01 to 2025-03-31 · 406 cases | 87 | 79 | 74.25 | Better than 64% of US hospitals | |
| Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 419 cases | 162 | 154 | 153 | Worse than 55% of US hospitals | |
| Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better2024-10-01 to 2025-09-30 · 377 cases | 154 | 148 | 147 | Worse than 53% of US hospitals | |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better2024-10-01 to 2025-09-30 · 18 cases | 200 | 247 | 227 | Better than 68% of US hospitals | |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better2024-10-01 to 2025-09-30 · 27 cases | 301 | 293 | 305 | Worse than 53% of US hospitals | |
| Left before being seen2024-01-01 to 2024-12-31 · 14,401 cases | 2 | 1 | 1.418 | Worse than 58% of US hospitals | |
| Head CT results2024-10-01 to 2025-09-30 · 13 cases | 62 | 74 | 68.9 | Worse than 72% of US hospitals | |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients2024-01-01 to 2024-12-31 · 101 cases | 100 | 97 | 93.89 | The best result, shared by 27% of US hospitals | |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery2024-01-01 to 2024-12-31 | Not Available | ||||
| ST-Segment Elevation Myocardial Infarction (STEMI)2024-01-01 to 2024-12-31 | Not Available | 63.27 | |||
| Safe Use of Opioids - Concurrent Prescribing2024-01-01 to 2024-12-31 · 175 cases | 13 | 15 | 16.73 | Better than 60% of US hospitals | |
| Appropriate care for severe sepsis and septic shock2024-10-01 to 2025-09-30 · 99 cases | 88 | 65 | 66.02 | Better than 95% of US hospitals | |
| Septic Shock 3-Hour Bundle2024-10-01 to 2025-09-30 · 39 cases | 92 | 73 | 74.36 | Better than 89% of US hospitals | |
| Septic Shock 6-Hour Bundle2024-10-01 to 2025-09-30 · 25 cases | 96 | 88 | 85.06 | Better than 78% of US hospitals | |
| Severe Sepsis 3-Hour Bundle2024-10-01 to 2025-09-30 · 99 cases | 92 | 82 | 81.94 | Better than 88% of US hospitals | |
| Severe Sepsis 6-Hour Bundle2024-10-01 to 2025-09-30 · 71 cases | 100 | 94 | 94.58 | The best result, shared by 10% of US hospitals | |
| Discharged on Antithrombotic Therapy2024-01-01 to 2024-12-31 | Not Available | 96.88 | |||
| Anticoagulation Therapy for Atrial Fibrillation/Flutter2024-01-01 to 2024-12-31 | Not Available | 74 | |||
| Antithrombotic Therapy by End of Hospital Day 22024-01-01 to 2024-12-31 | Not Available | 92.33 | |||
| Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 325 cases | 98 | 90 | 76.94 | Better than 84% of US hospitals | |
| Intensive Care Unit Venous Thromboembolism Prophylaxis2024-01-01 to 2024-12-31 · 102 cases | 100 | 97 | 93.3 | The best result, shared by 14% of US hospitals |
How often scans were ordered when they may not be needed; lower is better.
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Abdomen CT Use of Contrast Material2024-07-01 to 2025-06-30 | 11.2 | 5 | 7.251 | Worse than 91% of US hospitals | |
| Breast Cancer Screening Recall Rates2024-07-01 to 2025-06-30 | 2 | 6.6 | 6.595 | Better than 97% of US hospitals |
Medicare spending around an inpatient stay compared with the US (1 is the US median).
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary)2024-01-01 to 2024-12-31 | 0.83 | 0.99 | 1.007 | Better than 97% of US hospitals |
Measures CMS reports for the hospital's psychiatric unit or for a psychiatric hospital.
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| Follow-up care within 30 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 48 cases | 68.8 | 60.8 | 58.28 | Better than 71% of US hospitals | |
| Follow-up care within 7 days after psychiatric hospitalization2023-07-01 to 2024-06-30 · 48 cases | 37.5 | 35.5 | 30.75 | Better than 56% of US hospitals | |
| Hours of physical-restraint use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 2,338 cases | 0 | 0.05 | 0.1626 | The worst result, shared by 22% of US hospitals | |
| Hours of seclusion use per 1,000 psychiatric patient hours2024-01-01 to 2024-12-31 · 2,338 cases | 0 | 0.03 | 0.09704 | The worst result, shared by 39% of US hospitals | |
| Psychiatric patients screened for and given the flu vaccine2024-10-01 to 2025-03-31 · 91 cases | 92 | 87 | 83.48 | Better than 63% of US hospitals | |
| Medication continuation after psychiatric discharge2022-07-01 to 2024-06-30 | Not Available | 76.4 | |||
| Readmitted to any hospital within 30 days of psychiatric discharge2022-07-01 to 2024-06-30 · 170 cases | 19 | 19.1 | 19.53 | No Different Than the National Rate | Better than 51% of US hospitals |
| Psychiatric patients screened for metabolic disorders2024-01-01 to 2024-12-31 · 160 cases | 99 | 92 | 90.93 | Better than 80% of US hospitals | |
| Alcohol use brief intervention provided or offered2024-01-01 to 2024-12-31 | Not Available | 70.89 | |||
| Alcohol use brief intervention provided2024-01-01 to 2024-12-31 | Not Available | 80.93 | |||
| Alcohol and other drug use disorder treatment provided or offered at discharge2024-01-01 to 2024-12-31 | Not Available | 83.83 | |||
| Alcohol and other drug use disorder treatment provided at discharge2024-01-01 to 2024-12-31 | Not Available | 62.17 | |||
| Tobacco use treatment provided or offered at discharge2024-01-01 to 2024-12-31 · 14 cases | 21 | 64 | 64.23 | Worse than 78% of US hospitals | |
| Tobacco use treatment provided at discharge2024-01-01 to 2024-12-31 · 14 cases | 7 | 4 | 13.77 | Better than 56% of US hospitals | |
| Discharged patients who received a transition record with the specified elements2024-01-01 to 2024-12-31 · 222 cases | 20 | 77 | 77.04 | Worse than 78% of US hospitals |
The scores Medicare uses to raise or lower inpatient payments; higher is better.
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| VBP clinical outcomes domain scoreFY 2026 | 7.5 | 20 | 14.1 | Worse than 78% of US hospitals | |
| VBP clinical outcomes weighted domain scoreFY 2026 | 1.875 | 5 | 3.571 | Worse than 78% of US hospitals | |
| VBP efficiency and cost reduction domain scoreFY 2026 | 90 | 10 | 19.82 | Better than 96% of US hospitals | |
| VBP efficiency and cost reduction weighted domain scoreFY 2026 | 22.5 | 2.5 | 5.134 | Better than 95% of US hospitals | |
| VBP person and community engagement domain scoreFY 2026 | 78 | 34 | 44.76 | Better than 96% of US hospitals | |
| VBP person and community engagement weighted domain scoreFY 2026 | 19.5 | 8.75 | 11.37 | Better than 94% of US hospitals | |
| VBP safety domain scoreFY 2026 | 100 | 40 | 46.5 | Better than 99% of US hospitals | |
| VBP safety weighted domain scoreFY 2026 | 25 | 10 | 11.8 | Better than 99% of US hospitals | |
| VBP total performance scoreFY 2026 | 68.88 | 29.5 | 31.05 | Better than 99% of US hospitals |
| By fiscal year | FY 2021 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|
| VBP clinical outcomes domain score | 27.5 | 20 | 13.33 | 0 | 7.5 |
| VBP clinical outcomes weighted domain score | 9.167 | 5 | 4.444 | 0 | 1.875 |
| VBP efficiency and cost reduction domain score | 20 | 50 | 90 | 70 | 90 |
| VBP efficiency and cost reduction weighted domain score | 6.667 | 12.5 | 30 | 23.33 | 22.5 |
| VBP person and community engagement domain score | 40 | Not Available | 26 | 52 | 78 |
| VBP person and community engagement weighted domain score | 13.33 | Not Available | 8.667 | 17.33 | 19.5 |
| VBP safety domain score | Not Available | Not Available | Not Available | Not Available | 100 |
| VBP safety weighted domain score | Not Available | Not Available | Not Available | Not Available | 25 |
| VBP total performance score | 29.17 | Not Available | 43.11 | 40.67 | 68.88 |
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.011 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 0.9628 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | 0.9456 | 0.9969 | 1.008 | Better than 91% of US hospitals | |
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | 0.9792 | 0.9983 | 1.009 | Better than 64% of US hospitals | |
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | 0.9536 | 0.9916 | 1.084 | Better than 62% of US hospitals | |
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | 0.8988 | 0.9955 | 1.006 | Better than 95% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | 0.9952 | 1.036 | 1.016 | 0.9593 | 0.9298 | 0.9456 |
| READM-30-HF-HRRP | 1.03 | 0.9938 | 0.9988 | 1.008 | 1.008 | 0.9792 |
| READM-30-HIP-KNEE-HRRP | 1.024 | 0.9802 | N/A | 0.9792 | 0.9812 | 0.9536 |
| READM-30-PN-HRRP | 1.01 | 1.026 | 1.019 | 0.948 | 0.9448 | 0.8988 |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Spring View Hospital | US median | KY average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5632 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | 0 | 0.346 | 0.3899 | The best result, shared by 9% of US hospitals | |
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.9125 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8459 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | 0.9716 | 0.9628 | 1.023 | Worse than 54% of US hospitals | |
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.8867 | |||
| Total HAC scoreFY 2026 | -0.79 | -0.0453 | 0.1443 | Better than 91% of US hospitals |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | -0.2331 | -0.0862 | 0 | -0.1457 | -0.3264 | -0.79 |
Source: CMS Care Compare hospital files, latest release 2026-09-30, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
The Joint Commission (since 2010)
Accreditation
None
Medical school affiliation
Private (for profit)
Ownership type
75
Medicare-certified beds
45
Registered nurses (full-time equivalent)
1980
In Medicare since
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Spring View Hospital reported to Medicare in its latest cost report, covering Oct 1, 2024 to Sep 30, 2025.
994
Inpatient discharges
Medicare 26%, Medicaid 2%
2,990
Inpatient days
13% of available bed days used
249
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 830740). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Spring View Hospital reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 699 | 27 | 2,264 | 2,990 |
| Discharges | 259 | 16 | 719 | 994 |
| Average length of stay | 2.7 days | 1.7 days | 3.1 days | 3.0 days |
| Average daily census | 1.9 | 0.1 | 6.2 | 8.2 |
753
Medicare Advantage days
262 discharges
844
Medicaid managed care days
226 discharges
709
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 57 | 2,314 | 630 | 11% |
| Intensive care unit | 6 | 227 | 69 | 10% |
| Nursery | 449 | |||
| Subprovider - ipf | 12 | 1,822 | 971 | 42% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830740, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Spring View Hospital treats Medicare patients for most often, in 2024. 109 Medicare discharges in 5 published DRGs; 15% surgical; 85% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Septicemia or severe sepsis without MV >96 hours with MCCMS-DRG 871, medical | 49 | $43,270 | $12,819 | $9,303 | 1.98 |
| Heart failure and shock with MCCMS-DRG 291, medical | 17 | $40,331 | $9,200 | $8,671 | 1.28 |
| Major hip and knee joint replacement or reattachment of lower extremity without MCCMS-DRG 470, surgical | 16 | $71,878 | $13,648 | $15,454 | 1.88 |
| Simple pneumonia and pleurisy with MCCMS-DRG 193, medical | 15 | $45,238 | $8,863 | $9,726 | 1.33 |
| Chronic obstructive pulmonary disease with MCCMS-DRG 190, medical | 12 | $36,188 | $7,695 | $7,780 | 1.10 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Spring View Hospital billed Medicare for most in 2024: 339 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Comprehensive Observation ServicesAPC 8011 | 147 | 128 | $28,750 | $1,753 | $2,090 |
| Level 1 Intraocular ProceduresAPC 5491 | 59 | 31 | $14,118 | $1,528 | $1,752 |
| Level 2 Excision/ Biopsy/ Incision and DrainageAPC 5072 | 27 | 17 | $9,742 | $1,084 | $1,220 |
| Level 4 Urology and Related ServicesAPC 5374 | 25 | 17 | $35,209 | $2,330 | $2,629 |
| Level 1 Nerve ProceduresAPC 5431 | 18 | 17 | $16,659 | $1,291 | $1,407 |
| Level 3 Musculoskeletal ProceduresAPC 5113 | 15 | 14 | $33,666 | $2,164 | $2,373 |
| Level 4 Musculoskeletal ProceduresAPC 5114 | 13 | 13 | $54,189 | $4,782 | $5,339 |
| Level 2 Musculoskeletal ProceduresAPC 5112 | 12 | 12 | $17,472 | $985 | $1,196 |
| Level 5 Musculoskeletal ProceduresAPC 5115 | 12 | 11 | $72,725 | $9,397 | $10,772 |
| Level 1 Laparoscopy and Related ServicesAPC 5361 | 11 | 11 | $45,124 | $3,857 | $4,358 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Spring View Hospital in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 502 in 2020 to 453 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 40033 | 227 | 50% | 647 | $13.1M | 37% | 39% |
| 40069 | 71 | 16% | 195 | $3.8M | 17% | 22% |
| 42718 | 45 | 10% | 118 | $2.9M | 3% | 3% |
| 40037 | 34 | 8% | 111 | $2.1M | 23% | 49% |
| 40078 | 29 | 6% | 86 | $1.6M | 26% | 15% |
| 40060 | 20 | 4% | 56 | $913,166 | 100% | |
| 40009 | 16 | 4% | 47 | $845,535 | 100% | 48% |
| 40328 | 11 | 2% | 43 | $662,773 | 22% |
Source: CMS Hospital Service Area file. Shares are of the 453 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff by profession and the rooms and units Spring View Hospital reported at its latest Medicare certification survey (2012). Counts are people, not full-time equivalents.
4
Operating rooms
2
Endoscopy rooms
12
Psychiatric unit beds
2
Off-site locations
45
Registered nurses
6
Licensed practical nurses
1
Physicians
2
Nurse practitioners
2
Pharmacists
6
Respiratory therapists
1
Physical therapists
6
Speech pathologists and audiologists
6
Radiology technicians
1
Nuclear medicine technicians
7
Laboratory technicians
1
Medical technologists
1
Dietitians
115
Other personnel
Source: CMS Provider of Services file.
121 clinicians who bill Medicare list Spring View Hospital as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Andrea Stucker, P.A.-C
Physician Assistant
NPI 1578821393
See commercial rates for Andrea Stucker, P.A.-CSanjiv Mehta, MD
Orthopaedic Surgery Physician
NPI 1013014133
See commercial rates for Sanjiv Mehta, MDJerome Dixon, D.O.
Family Medicine Physician
NPI 1215919451
See commercial rates for Jerome Dixon, D.O.Julia Brown, MD
Internal Medicine Physician
NPI 1669459434
See commercial rates for Julia Brown, MDKellee Frogge, M.D.
Family Medicine Physician
NPI 1467434928
See commercial rates for Kellee Frogge, M.D.Stefanie Spalding, MSN, APRN, NP-C
Nurse Practitioner
NPI 1376015602
See commercial rates for Stefanie Spalding, MSN, APRN, NP-CGregory Elliott, M.D.
Diagnostic Radiology Physician
NPI 1720038599
See commercial rates for Gregory Elliott, M.D.Erik Dowden, MD
Diagnostic Radiology Physician
NPI 1043495997
See commercial rates for Erik Dowden, MDRyan Currier, M.D.
Diagnostic Radiology Physician
NPI 1336302462
See commercial rates for Ryan Currier, M.D.David George, M.D.
Internal Medicine Physician
NPI 1376525212
See commercial rates for David George, M.D.John Gardner
Pain Medicine (Anesthesiology) Physician
NPI 1770826299
See commercial rates for John GardnerAdam Bryant, M.D.
Diagnostic Radiology Physician
NPI 1295998581
See commercial rates for Adam Bryant, M.D.Galen Weiss, M.D.
Orthopaedic Surgery Physician
NPI 1619969631
See commercial rates for Galen Weiss, M.D.Mark Haeberle
Dermatology Physician
NPI 1558650291
See commercial rates for Mark HaeberleRobert Buck, M.D.
Diagnostic Radiology Physician
NPI 1689602872
See commercial rates for Robert Buck, M.D.Kelly Deatley, M.D.
Family Medicine Physician
NPI 1467848952
See commercial rates for Kelly Deatley, M.D.Ian Campbell, M.D.
Diagnostic Radiology Physician
NPI 1144464801
See commercial rates for Ian Campbell, M.D.Alan Brooks, MD
Cardiovascular Disease Physician
NPI 1184042681
See commercial rates for Alan Brooks, MDAnne Morley, APRN
Family Nurse Practitioner
NPI 1154801629
See commercial rates for Anne Morley, APRNLeon Butler, M.D.
Internal Medicine Physician
NPI 1689754822
See commercial rates for Leon Butler, M.D.Vipul Panchal, MD
Cardiovascular Disease Physician
NPI 1992741706
See commercial rates for Vipul Panchal, MDWayne Shugoll, M.D.
Cardiovascular Disease Physician
NPI 1255384020
See commercial rates for Wayne Shugoll, M.D.Charles Dawson, MD
Cardiovascular Disease Physician
NPI 1538171517
See commercial rates for Charles Dawson, MDSummer Tucker, D.O.
Family Medicine Physician
NPI 1659505113
See commercial rates for Summer Tucker, D.O.Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Revenue, expenses and income Spring View Hospital reported to Medicare for Oct 1, 2024 to Sep 30, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $320.2M | 578.0% |
| Inpatient | $60M | 108.2% |
| Outpatient | $260.2M | 469.8% |
| Contractual allowances and discounts | -$264.8M | -478.0% |
| Net patient revenue | $55.4M | 100.0% |
| Operating expenses | -$54.4M | -98.2% |
| Operating income from patient care | $1M | 1.8% |
| Other income | $1M | 1.9% |
| Net income | $2.1M | 3.7% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $51.3M | 16.8% |
| Medicaid (including managed care) | $80.3M | 26.2% |
| Other payers and self-pay | $174.4M | 57.0% |
| Total charges | $306M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830740, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Spring View Hospital's latest cost report.
1.8%
Operating margin
Operating income from patient care / net patient revenue
3.6%
Total margin
Net income / net patient revenue plus other income
6.9%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
46% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$40.84
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.1%
Return on assets
Net income for a year / total assets
3.2%
Return on equity
Net income for a year / fund balance
-0.39
Current ratio
Current assets / current liabilities
-0.00
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
0 days
Days in patient receivables
Net patient receivables / daily net patient revenue
-220 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.68
Asset turnover
Total revenue for a year / total assets
6.9 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 830740, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Spring View Hospital owned and owed at the end of its reporting period (Sep 2025), across all fund types: $33.5M in total assets and a $64.7M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $9,690 | 0.0% |
| Patient receivables, net | $303 | 0.0% |
| Inventory | $990,856 | 3.0% |
| Total current assets | $12.4M | 37.0% |
| Property and equipment, net of depreciation | $13.1M | 39.1% |
| Investments and other assets | $8M | 23.9% |
| Total assets | $33.5M | 100.0% |
| Current liabilities | -$32M | -95.6% |
| Total liabilities | -$31.2M | -93.0% |
| Fund balance (net assets) | $64.7M | 193.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 830740, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Spring View Hospital provided without full payment, as reported on Worksheet S-10 of its cost report.
$576,639
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$4.6M
Bad debt
Patient bills written off as uncollectible, at charges
$1.9M
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$1.1M
Total unreimbursed and uncompensated care
2.1% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 830740, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Spring View Hospital's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Sep 2020 | Sep 2021 | Sep 2022 | Sep 2023 | Sep 2024 | Sep 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $33.2M | $44.5M | $44.6M | $52.1M | $56.6M | $55.4M |
| Operating expenses | $35.3M | $39.6M | $44.4M | $49.9M | $53.9M | $54.4M |
| Operating margin | -6.2% | 11.0% | 0.6% | 4.3% | 4.8% | 1.8% |
| Net income | $1.7M | $6.8M | $1.1M | $3.9M | $3.7M | $2.1M |
| Total assets | $23M | $25.4M | $26M | $32.4M | $34.1M | $33.5M |
| Discharges | 939 | 1,095 | 966 | 815 | 966 | 994 |
| Inpatient days | 2,850 | 3,932 | 3,727 | 2,546 | 3,083 | 2,990 |
| Medicare Advantage days | 271 | 625 | 1,036 | 1,560 | 899 | 753 |
| Beds | 75 | 75 | 75 | 75 | 75 | 75 |
| Employees (FTE) | 190 | 203 | 203 | 226 | 237 | 249 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830740, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Spring View Hospital reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Operating room | $1.4M | $4.9M | $35.9M | 0.14 | 11,689 |
| Emergency | $1.7M | $3.4M | $42.2M | 0.08 | 3,459 |
| Laboratory | $991,442 | $3.2M | $54.9M | 0.06 | 2,249 |
| Radiology-diagnostic | $1.1M | $3.1M | $81.1M | 0.04 | 7,792 |
| Drugs charged to patients | $2.2M | $21.2M | 0.10 | ||
| Impl. dev. charged to patients | $2.1M | $4.2M | 0.49 | ||
| Rural health clinic | $833,802 | $1.6M | $2.4M | 0.64 | |
| Observation beds (non-distinct part | $1.2M | $6M | 0.21 | ||
| Medical supplies charged to patient | $1.2M | $15.3M | 0.08 | ||
| Respiratory therapy | $554,842 | $952,671 | $1.6M | 0.59 | 1,323 |
| Physical therapy | $436,282 | $945,241 | $5.4M | 0.17 | 3,120 |
| Recovery room | $191,284 | $486,604 | $6.4M | 0.08 | 1,349 |
| Electrocardiology | $33,271 | $225,666 | $14.2M | 0.02 | 982 |
| Delivery room & labor room | $7,054 | $2.9M | 0.00 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $2.4M | $5.3M | $4.3M | 1.24 | 6,769 |
| Subprovider - ipf | $1.2M | $3.1M | $5.5M | 0.56 | 4,616 |
| Intensive care unit | $610,368 | $1.3M | $911,201 | 1.45 | 3,581 |
| Nursery | $144,063 | $1.5M | 0.10 | 1,371 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $2.3M | $8M | 55,868 | $37.09 | 6,281 |
| Employee benefits department | $121,451 | $2.5M | 3,323 | $36.55 | 196 |
| Operation of plant | $254,270 | $1.7M | 8,372 | $30.37 | 22,988 |
| Pharmacy | $595,694 | $1.1M | 11,523 | $51.70 | 878 |
| Cap rel costs-mvble equip | $1.1M | ||||
| Cap rel costs-bldg & fixt | $1M | 93,413 | |||
| Nursing administration | $401,421 | $733,389 | 8,747 | $69.83 | 316 |
| Central services & supply | $221,537 | $701,614 | 8,679 | $25.53 | 2,438 |
| Housekeeping | $175,670 | $544,690 | 17,611 | $9.98 | 362 |
| Medical records & library | $134,019 | $384,377 | 6,362 | $21.07 | 1,580 |
| Cafeteria | $345,273 | 9,639 | $11.80 | ||
| Dietary | $176,958 | $170,813 | 3,722 | $11.80 | 4,691 |
| Laundry & linen service | $160,841 | 546 |
Source: CMS cost report (HCRIS, Form 2552-10), report 830740, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Spring View Hospital for an inpatient stay.
1.57
Case mix index
Higher than 37% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
44.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
256
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Rural
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 | FY 2027 |
|---|---|---|---|---|---|---|---|
| Case mix index | 1.26 | 1.26 | 1.76 | 1.91 | 1.45 | 1.63 | 1.57 |
| Wage index | 0.821 | 0.822 | 0.819 | 0.825 | 0.843 | 0.864 | 0.879 |
| Readmissions adjustment | -0.22% | -0.27% | -0.49% | -0.07% | -0.01% | -0.02% | 0.00% |
| Value-based purchasing adjustment | +0.08% | -0.13% | -0.13% | +0.05% | +2.09% | +1.64% | +2.75% |
| Medicare inpatient stays | 413 | 413 | 331 | 296 | 216 | 237 | 256 |
Source: CMS IPPS final rule Impact File (FY 2027).
Organizations Spring View Hospital reports to Medicare as owners or with operational control.
Dsb Acquisition LLC
5% or greater indirect ownership interest, 100%, since 2018
Historic LifePoint Hospitals, LLC
5% or greater indirect ownership interest, 100%, since 2003
Legacy LifePoint Health LLC
5% or greater indirect ownership interest, 100%, since 2015
LifePoint Health Inc
5% or greater indirect ownership interest, 100%, since 2018
LifePoint Holdings 2 LLC
5% or greater direct ownership interest, 100%, since 2003
LifePoint Hospitals Holdings LLC
5% or greater indirect ownership interest, 100%, since 2015
LifePoint Corporate Services General Partnership
Operational/managerial control, since 2005
Sources: CMS Hospital All Owners.
The officers and board members on Spring View Hospital's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Source: CMS Hospital All Owners (PECOS), the people the hospital lists on its Medicare enrollment.
Accountable care organization (Medicare Shared Savings Program)
AdvantagePoint Health Alliance - Bluegrass, LLC
ACO A5028, current agreement since 2024. Public reporting page
Source: CMS Shared Savings Program participants, 2026, matched on Spring View Hospital's legal name.
Helipad
Spring View Hospital
FAA location ID 6KY1, a medical-use heliport at the hospital.
Source: FAA National Airspace System Resource data, cycle 2026-10-01.
Spring view psych dpu
CCN 18S024, certified 2016, Medicare prospective payment
Spring view swb
CCN 18U024, certified 2004, Medicare prospective payment
Spring view clinic
CCN 183474, certified 2012, Medicare cost reimbursed
Source: Worksheet S-2 Part I of Spring View Hospital's latest Medicare cost report (HCRIS).
About Spring View Hospital's rates and hospital price transparency.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Spring View Hospital range from $247 to $410 across 3 insurers. Aetna's rate is $247. The median at nearby comparable hospitals is $736. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Spring View Hospital range from $2,441 to $3,813 across 2 insurers. Blue Cross Blue Shield's rate is $2,441. The median at nearby comparable hospitals is $2,364. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Spring View Hospital range from $4,221 to $13,943 across 3 insurers. UnitedHealthcare's rate is $4,221. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Spring View Hospital range from $117 to $293 across 3 insurers. UnitedHealthcare's rate is $293. The median at nearby comparable hospitals is $151. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Spring View Hospital range from $17,607 to $36,993 across 2 insurers. Blue Cross Blue Shield's rate is $17,607. The median at nearby comparable hospitals is $22,195. What a patient pays depends on their plan's deductible, coinsurance and network status.
Spring View Hospital has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.
CMS reports no Medicare-funded interns or residents at Spring View Hospital for fiscal year 2027.
No. Spring View Hospital has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.
In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (49 discharges), heart failure and shock with mcc (17 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (16 discharges).
Spring View Hospital's Medicare case mix index is 1.57 for fiscal year 2027, higher than 37% of hospitals paid under the inpatient prospective payment system.
Spring View Hospital reported 994 inpatient discharges and 2,990 inpatient days from Oct 1, 2024 to Sep 30, 2025.
Spring View Hospital reported 249 full-time-equivalent employees on payroll from Oct 1, 2024 to Sep 30, 2025.
Spring View Hospital reported $55.4M in net patient revenue on $320.2M of gross charges for Oct 1, 2024 to Sep 30, 2025, an operating margin of 1.8%, and net income of $2.1M.
Spring View Hospital reported $1.1M of unreimbursed and uncompensated care for Oct 1, 2024 to Sep 30, 2025, including $576,639 of charity care at cost.
Spring View Hospital's Medicare enrollment lists William Haugh as President since 2022.
Insurers' price transparency files list Spring View Hospital under employer identification number 20-0155414 (Spring View Hospital). 45 health plans and networks list 20-0155414 for it.
121 clinicians who bill Medicare list Spring View Hospital as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are family nurse practitioner (33), internal medicine physician (14), diagnostic radiology physician (10).
Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Spring View Hospital, effective 2010.
In its Medicare enrollment, Spring View Hospital reports Dsb Acquisition LLC as 5% or greater indirect ownership interest (100%).
CMS lists 27 services at Spring View Hospital, including Anesthesia, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Spring View Hospital came from ZIP codes 40033 (227), 40069 (71), 42718 (45).
Spring View Hospital has 75 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Spring View Hospital is located at 320 Loretto Road, Lebanon, KY 40033. Its main phone number is (270) 692-5145.
Spring View Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 180024.
The National Provider Identifier (NPI) on file for Spring View Hospital is 1780746420.
Spring View Hospital is affiliated with LifePoint Health.
Spring View Hospital lists 25 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
160 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers